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Spinal Manipulation (adjustments)
Here at Dynamic Spine, we assess joint function based on a Tri-planar range of motion; what that means is we assess joints dynamically and deliver adjustments to regions of joint blockage. Adjustments work by taking a joint to its restricted end range of motion and delivering impulse that gaps the joint allowing it to move freely again. This provides pain relief and improves the range of motion. We use this intervention as a portion of our multimodal approach to patient care. While adjustments are very beneficial, there’s much more to the puzzle.
Functional Rehabilitation
Functional rehabilitation is a lens that we look through to assess the function of a patients movement strategy. Every joint in the body must be able to create, resist, and disperse the forces that are placed on them. When a joint is not stabilized well, certain tissues may become overloaded and result in pain, lack of mobility, or compensation from other muscles and joints. The better we can use all the muscles that support a joint, to evenly share the load placed on a joint, the more efficient the joint becomes at doing its job in movement. This will reduce or eliminate the need for compensatory patterns, unwanted wear and tear on passive tissues (bone, cartilage, ligaments, or other connective tissues), and energy leaks through our joints that are reducing the force we can create through certain performance metrics such as throwing, jumping, and lifting. Functional rehabilitation is an amazing tool that we use to complement and adjustment. After joint range of motion has been restored through an adjustment, we will use functional rehabilitation to help teach the patient how to use and control that new range of motion with their muscles. If joint range of motion is improved, but nothing is done to improve the function of the muscles that control the joint that was manipulated, the joint will likely become restricted again. Functional rehabilitation is a way we can hit “SAVE” on a good movement pattern, so the joints don’t keep going back to stiff in a day or two after being adjusted.
McKenzie Method
The McKenzie Method (MDT) or Mechanical Diagnosis and Therapy, is a technique that is used at Dynamic Spine to help people in pain using repetitive end range movements. This system is used to diagnose joint movement restrictions that are contributing to pain. By loading certain joints to their end range capacity repetitively, we can identify a directional preference that improves the patient’s painful complaint. Once this directional preference is identified, the patient will then be given a series of movements to repeat serval times through the coming days to continuously improve joint range of motion as well as the patient’s symptoms. MDT is extremely effective for painful complaints such as pain that ravels down the arms, legs, or from the neck into the head in the form of cervicogenic headaches. People are creatures of habit and commonly do not express the full range of motion through all our joints routinely. Over time, this can result in joint restriction, soft tissue tension, derangement or mismanaged pressure in a joint that can result in radiating pain. MDT is one of the best pain management systems out there because it gives clinicians an objective assessment tool that can then be used to empower the patient to improve themselves on their own without constant provider interaction.
Dry Needling
Dry Needling is a modality that we use here at Dynamic Spine to decrease muscular tension, eliminate trigger points, decrease pain, and kickstart the healing process. When a needle is inserted into tissue, the body treats it as a micro trauma, which brings influx of nutrient dense blood to the area. By bringing the body’s attention and resources to the region being needled, it speeds up the cellular metabolism in the target tissue which allow the body to repair, relax, heal and recover.
Soft Tissue Therapy (Myofascial Release/Fascial Manipulation)
Myofascial Release and Fascial manipulation are modalities used in the office to decrease muscular tension and pain in the soft tissue as well as the nervous system. By manipulating a muscle as well as the fascia or nerves that surround the region through either its passive and/or active range of motion, we can restore mobility to muscles and reset the nervous system to downregulate neural tension and sensitivity. By reducing restrictions in muscle, fascia, and nerves, the joints they support can function freely to create and resist movement to maintain healthy joints. Bones do not operate in isolation, the soft tissue component, although commonly ignored, is a focal point at Dynamic Spine.
SFMA
The Selective Functional Movement Assessment is an evaluation tool that is used to assess the quality of movement a patient can express, as well what movements are causing pain. Painful and dysfunctional movement patterns can then be further broken down to identify the limiting factors to be improved upon subsequent treatment sessions.
NXT STAT
NXT STAT Sports Lab is our method of objectively measuring an athlete’s performance to determine proper procedure within the unique case. This has been determined as the gold standard in athletic data collection. This works by having an athlete perform movements on force plates. With this data we can assess things like explosiveness, side-to-side symmetry, and many other performance metrics. As clinicians, we can objectively monitor progress throughout treatment and determine when an athlete has improved or is ready to return to their sport. This will also allow us to cross reference these athletes with thousands of others in our database to determine things like their injury risk as well as their performance compared to others in their demographic. To improve baseline metrics, we create individualized rehabilitative plans and supplemental strength training recommendations to help these athletes achieve their goal in an effective manner.
IASTM
Instrument Assisted Soft Tissue Manipulation is a soft tissue technique that works great for treating overuse injuries such as tendinopathies. By influencing the soft tissue with an instrument, we can downregulate the nervous system around the area which results in less pain and tension in the tendon and surrounding musculature. Another benefit of this technique is that by inducing a small inflammatory response, the body will increase blood flow to the area which kickstarts the healing process in the dysfunctional tendon. Inflammation isn’t always a bad thing, it is the way the body heals damaged tissue to help break down the remodel tissue. We always have patients exercise the area being treated to better influence tissue along with the lines of force that those tissues produce and are exposed to. This, coupled with desensitizing the region, and re-integrating the motor pattern by performing the movement, creates great results for our patients.
Taping
Kinesiology tape is a great way to improve proprioception in an injured area. The tape can provide additional support and neurological feedback to get through daily activities with less pain.
Nutrition/Supplementation
For patients that need metabolic or nutritional support, we offer in person or virtual nutritional consults to help guide you towards meeting your goals. Whether it be weight loss, general health, or simply have questions about how nutrition can play into musculoskeletal pain.
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Functional Training
We offer cash-based functional training. This is a one-on-one session with one of our providers to work on specific movement patterns or goals in the gym. This is a great option to continue improving a movement or strengthening a pattern after the pain has subsided, or for people with poor movement mechanics that do not yet present as painful. This service can be utilized to build a functional base to begin loading and improving strength.